Haemorrhoid surgery

Haemorrhoids (piles) are blood filled swellings located in the anal canal. About 80% of adults over 30 will have at least one episode of haemorrhoids some time during their lives.
Haemorrhoid diseases may present with the following symptoms: anal bleeding, mucous discharge, itching and wounds in the intergluteal cleft.
Four grades of haemorrhoids (from 1 to 4) can be distinguished on a rectal examination or proctoscopy.

• grade 3 and 4 haemorrhoids,
• intensive bleeding not responding to Barron method treatment (ligatures),
• pain associated with haemorrhoids,
• haemorrhoids co-existing with other anal canal diseases which require surgical treatment,
• prolapse and infarction of haemorrhoids during pregnancy and after labour.

The decision on your surgery is taken during a pre-operative visit when a doctor assesses your eligibility, selects the optimum procedure and orders necessary tests.  The decision is made on the basis of test results and your general condition. Then a convenient date is selected.

• One week before the procedure you should have the following blood tests done: full blood count, electrolyte test, coagulation test, blood type, glucose, creatinine, Hbs antigen, ANTI-HCV.
• If you have other medical conditions, please consult your attending doctors and bring a certificate that there are no contraindications to the surgical procedure.
• If you are on anticoagulant treatment, you should switch to subcutaneous medications 7 days before the procedure.
• Consult with the attending doctor whether to take any medications on the day of the procedure.
• On the day of the surgery you should come to hospital on an empty stomach.

• he procedure is performed under spinal block,
• the procedure lasts from 30 to 45 minutes.

After haemorrhoid surgery repair you can return to normal activity within one week, but you should follow these guidelines:

• Physical exercise should be limited for up to 2 weeks after the surgery,
• The wound should be rinsed with Octenisept solution every day.
• Sutures are removed on the 7th day after the procedure.
• Histopathology results should be collected 14 days after the surgery.